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Antimicrobial Therapy and Antimicrobial Stewardship in Sepsis

Authors
Seok, HyeriJeon, Ji HoonPark, Dae Won
Issue Date
3월-2020
Publisher
KOREAN SOC ANTIMICROBIAL THERAPY
Keywords
Sepsis; Septic shock; Antibiotics; Antimicrobial stewardship
Citation
INFECTION AND CHEMOTHERAPY, v.52, no.1, pp.19 - 30
Indexed
SCOPUS
KCI
Journal Title
INFECTION AND CHEMOTHERAPY
Volume
52
Number
1
Start Page
19
End Page
30
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/57438
DOI
10.3947/ic.2020.52.1.19
ISSN
2093-2340
Abstract
Since sepsis was first defined, sepsis management has remained challenging. To improve mortality rates for sepsis and septic shock, an accurate diagnosis and prompt administration of appropriate antibiotics are essential. The goals of antimicrobial stewardship are to achieve optimal clinical outcomes and to ensure cost-effectiveness and minimal unintended consequences, such as toxic effects and development of resistant pathogens. A combination of inadequate diagnostic criteria for sepsis and time pressure to provide broad-spectrum antimicrobial therapy remains an obstacle for antimicrobial stewardship. Efforts such as selection of appropriate empirical antibiotics and de-escalation or determination of whether or not to stop antibiotics may help to improve a patient's clinical prognosis as well as the successful implementation of antimicrobial stewardship.
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